Provider Demographics
NPI:1619508777
Name:SMOLINSKI, BECKY R
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:R
Last Name:SMOLINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27448 PICKAWAY SALTCREEK RD
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-9753
Mailing Address - Country:US
Mailing Address - Phone:740-974-8991
Mailing Address - Fax:
Practice Address - Street 1:10 DUN RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1101
Practice Address - Country:US
Practice Address - Phone:740-804-6800
Practice Address - Fax:740-721-4155
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-28
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker